Summary of case history,　patient Ye, a 32-year-old female, visited the hospital on September 17, 2021 due to "facial papules with pustules for six months". Half a year ago, the patient had no obvious cause of papules on the lower face and applied ointment on their own. The treatment effect was not satisfactory, and the papules worsened and formed pustules. Therefore, they came to our hospital for treatment. Symptoms and signs: scattered papules and pustules on both cheeks and mandible, dark red in color, with scattered dark red acne marks on both cheeks. no itching or pain in the papules. His face was pale, his limbs were cold, and his dry mouth was not bitter. He was able to endure it. He had nightmares all night long, and sometimes he had dreams of wading in big water. The tongue is light, the coating is thin and white, and the veins are thick and thin.,TCM diagnosis,　acne (yang deficiency and yin excess syndrome).,Western medicine diagnosis,　acne.,Therapeutic methods,　traditional Chinese medicine treatment focuses on restoring yang to save yin, warming the liver and calming the nerves, and is treated with Danggui Sini and Fuling Sini decoction.,Clinical outcomes,　the patient's facial rash subsided and there were no nightmares during sleep. No recurrence was observed after 8 months of follow-up.